Individual provider Active NPI

Andrew Louis Freeman, PA-C

  • Ophthalmology Physician
  • Henrico, VA
National Provider Identifier
1316689391
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0110008845 Issued in VA
Practice address
2924 Emerywood Pkwy Ste 103
Henrico, VA 23294-3746
Phone
(804) 330-9303
Fax
(804) 330-9302
NPI assigned
Apr 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Ophthalmology Physician 207W00000X 0110008845 VA Primary

Addresses

Primary practice location

2924 Emerywood Pkwy Ste 103
Henrico, VA 23294-3746

Mailing address

2313 Broad Branch Cir
Richmond, VA 23238-6462
Phone (585) 330-6165

Other practice location 1

605 N Courthouse Rd Ste 101
North Chesterfield, VA 23236-4068
Phone (804) 794-1334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230125000359 VA Practitioner - Physician Assistant 2769853076 Reassigns benefits to 1 organization
I20250325002158 NY Practitioner - Physician Assistant 2769853076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2469 State Route 19 N
Warsaw, NY 14569-9336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
032528NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carl D. Outen, MD, PC Ophthalmology PastSince Nov 30, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: afreeman@eccv.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1316689391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 BROAD BRANCH CIR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232386462",
            "telephone_number": "585-330-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 EMERYWOOD PKWY STE 103",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232943746",
            "telephone_number": "804-330-9303",
            "fax_number": "804-330-9302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 N Courthouse Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232364068",
            "country_code": "US",
            "telephone_number": "804-794-1334",
            "fax_number": "804-794-3927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ANDREW",
        "middle_name": "LOUIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0110008845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.